{"id":37407,"date":"2016-09-15T12:20:21","date_gmt":"2016-09-15T11:20:21","guid":{"rendered":"https:\/\/blogs.bmj.com\/bmj\/?p=37407"},"modified":"2016-09-15T12:37:52","modified_gmt":"2016-09-15T11:37:52","slug":"steve-ruffenach-on-accepting-technology-in-medicine","status":"publish","type":"post","link":"https:\/\/blogs.bmj.com\/bmj\/2016\/09\/15\/steve-ruffenach-on-accepting-technology-in-medicine\/","title":{"rendered":"Steve Ruffenach on accepting technology in medicine"},"content":{"rendered":"<p><a href=\"https:\/\/blogs.bmj.com\/bmj\/2016\/01\/21\/steve-ruffenach-tech-my-new-medical-assistant\/steve_ruffenach-2\/\" rel=\"attachment wp-att-36047\"><img loading=\"lazy\" decoding=\"async\" class=\"alignleft size-full wp-image-36047\" src=\"https:\/\/blogs.bmj.com\/bmj\/files\/2016\/01\/steve_ruffenach-1.png\" alt=\"steve_ruffenach\" width=\"160\" height=\"180\" \/><\/a>Like every other profession, medicine has been radically changed by our friend Tech. You of course know Tech; he is that associate that is always around, always snooping where he doesn\u2019t belong. He\u2019s the one who won\u2019t leave you alone no matter where you are or what you are doing.<\/p>\n<p>His virtues and failings have been discussed countless times for centuries. And our love-hate relationship with him has been present ever since he first showed up. Every time Tech comes out with a new ability, we seem to immediately embrace it and then condemn it. The classical Greek philosopher Socrates condemned one of Tech\u2019s earliest tricks, the act of writing, <em>(\u201c<a href=\"http:\/\/www.historyofinformation.com\/expanded.php?id=3894\">It will produce forgetfulness in the minds of those who learn to use it<\/a>\u201d), <\/em>although his student Plato wrote the Socratic dialogues to preserve his work. The Luddites hated and smashed the new-fangled factory machines that threatened their work <em>(\u201cWe wish to live peaceably and honestly by our labour\u201d <sup>1<\/sup>),<\/em> but used various appliances to make their point and meet their goals. And while many people love their horses more than their automobiles, (\u201c<em>One can get in a car and see what man has made. One must get on a horse to see what God has made\u201d <sup>2<\/sup>), <\/em>those very cars and trailers are irreplaceable in the lives of nearly every horse lover.<!--more--><\/p>\n<p>And so it is with the medical profession. We love Tech and yet often wish he would simply step back, leave us alone, and let us be the doctors and nurses we once imagined we would be; true and fierce caretakers treating the sick with our wits and hands and not with the constant beeping and monitoring that makes Tech so darn annoying. Still, without Tech we wouldn\u2019t have the shared knowledge that empowers us, the connectivity that enhances us, or the harnessed power that enables us to care for our patients.<\/p>\n<p>Yes, medical professionals grumble every day about Tech, living and working with that love\/hate relationship in every clinic, operating room and hospital.<\/p>\n<p>Well, I am tired of the griping. Tech is here to stay and I guess we either live with him or <em>do a Thoreau<\/em> and move out to the woods. Since I\u2019m not going to do that, I have a new way to keep my complaints to myself and embrace this Tech guy no matter how perturbing or powerful he is.<\/p>\n<p>I\u2019ve decided to \u201caccept and except.\u201d Let me explain.<\/p>\n<p>I <strong><em>accept<\/em><\/strong> the fact that Tech can, with his special power, show me things in my patient\u2019s bodies that I cannot see, <strong>e<em>xcept <\/em><\/strong>I will put my hands on that part of the patient and truly touch and feel the affected area.<\/p>\n<p>I <strong><em>accept<\/em><\/strong> that Tech can give me important electrical tracings of my patient\u2019s intrinsic rhythms, <strong><em>except<\/em><\/strong> I will actually listen to those beating hearts and physically connect with my patients.<\/p>\n<p>I <strong><em>accept <\/em><\/strong>that Tech can provide strong medications to relieve sickness and symptoms that I alone cannot,<strong><em> except<\/em><\/strong> I will talk to the patient after the medication has been started to ensure progress is being made.<\/p>\n<p>I <strong><em>accept <\/em><\/strong>that Tech will ensure my surgical fields are sterile, <strong><em>except <\/em><\/strong>I will defend and maintain them.<\/p>\n<p>I <strong><em>accept<\/em><\/strong> Tech knows all about my patients\u2019 histories, <strong><em>except<\/em><\/strong> I will protect their privacy.<\/p>\n<p>I <strong><em>accept <\/em><\/strong>Tech\u2019s power,<em> <strong>except<\/strong><\/em> I control him, he does not control me.<\/p>\n<p>I wonder what other examples of <strong><em>accept and except<\/em><\/strong> readers of <em>The<\/em>\u00a0<em>BMJ <\/em>might suggest. Please leave your suggestions in the comments section below.<\/p>\n<p><strong>References:<\/strong><\/p>\n<p><em>1. Writings of the Luddites<\/em>, Edited by Kevin Binfield. Baltimore and London: Johns Hopkins University Press, 2004.<\/p>\n<p>2.\u00a0<a href=\"http:\/\/horsefund.org\/horse-quotes.php\">http:\/\/horsefund.org\/horse-quotes.php<\/a><\/p>\n<p><em><strong>Steve Ruffenach<\/strong>\u00a0is an internist and medical informaticist living and practicing in Tucson, Arizona, USA. He holds a teaching position as a clinical assistant professor of medicine at the University of Arizona and has a keen interest in medicine and machines.<\/em><\/p>\n<p><em><strong>Competing interests:<\/strong> None declared.<\/em><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Like every other profession, medicine has been radically changed by our friend Tech. You of course know Tech; he is that associate that is always around, always snooping where he [&#8230;]<\/p>\n<p><a class=\"btn btn-secondary understrap-read-more-link\" href=\"https:\/\/blogs.bmj.com\/bmj\/2016\/09\/15\/steve-ruffenach-on-accepting-technology-in-medicine\/\">More&#8230;<\/a><\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[223],"tags":[],"class_list":["post-37407","post","type-post","status-publish","format-standard","hentry","category-guest-bloggers"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.5 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Steve Ruffenach on accepting technology in medicine - The BMJ<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/blogs.bmj.com\/bmj\/2016\/09\/15\/steve-ruffenach-on-accepting-technology-in-medicine\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Steve Ruffenach on accepting technology in medicine - The BMJ\" \/>\n<meta property=\"og:description\" content=\"Like every other profession, medicine has been radically changed by our friend Tech. 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